Lecture Exam Practice Questions - Pt II
- 1.Maslow's Hierarchy of Needs theory helps the nurse to identify the patient's:
- A.
Problem that has the top priority
- B.
Developmental level
- C.
Coping patterns
- D.
Health beliefs
- 2.According to Maslow's hierarchy of needs, the nurse identifies that the level of need that should be met just before self-esteem needs can be met is:
- A.
Safety
- B.
Belonging
- C.
Physiologic
- D.
Self-actualization
- 3.According to Maslow, which behavior least describes someone who is self-actualized? A person who:
- A.
Is autonomous
- B.
Is able to see the good in others
- C.
Has the ability to problem-solve
- D.
Has an external locus of control
- 4.The main purpose of the working phase of a therapeutic nurse-patient relationship is to:
- A.
Establish a formal or informal contract that addresses the patient's problems
- B.
Implement nursing interventions that are designed to achieve expected patient outcomes
- C.
Develop rapport and trust so the patient feels protected and an initial plan can be identified
- D.
Clearly identify the role of the nurse and establish parameters of the professional relationship
- 5.A patient says, "I don't know if I'll make it through this surgery." Which response by the nurse may block further communication by the patient?
- A.
"You sound scared."
- B.
"You think you will die."
- C.
"Surgery can be frightening."
- D.
"Everything will be alright."
- 6.The patient states, "My wife is going to be very upset that my prostate surgery probably is going to leave me impotent." What is the best response by the nurse?
- A.
"I'm sure your wife will be willing to make that sacrifice in exchange for your well-being."
- B.
"The doctors are getting great results with nerve-repairing surgery today."
- C.
"Your wife may not put as much emphasis on sex as you think."
- D.
"Let's talk about how you feel about this surgery."
- 7.A patient verbally communicates with the nurse while exhibiting nonverbal behavior. To confirm the meaning of the nonverbal behavior, the nurse should:
- A.
Look for similarity in meaning between the patient's verbal and nonverbal behavior
- B.
Ask family members to help interpret the patient's behavior
- C.
Validate inferences by asking the patient direct questions
- D.
Recognize that what a patient says is most important
- 8.The nurse is collecting data for an admission nursing history. Which question by the nurse is best to open the discussion?
- A.
"What brought you to the hospital?"
- B.
"Would it help to discuss your feelings?"
- C.
"Do you want to talk about your concerns?"
- D.
"Would you like to talk about why you are here?"
- 9.The patient is upset and crying and mentions something about her job that the nurse cannot understand. The nurse's best response is:
- A.
"It's natural to be worried about your job."
- B.
"Your job must be very important to you."
- C.
"Calm down so that I can understand what you are saying."
- D.
"I'm not quite sure I heard what you were saying about your job."
- 10.When providing nursing care, humor should be used to:
- A.
Diminish feelings of anger
- B.
Refocus the patient's attention
- C.
Maintain a balanced perspective
- D.
Delay dealing with the inevitable
- 11.What is the best response by the nurse when the patient's husband says, "I just don't know what to say to my wife if she asks how I feel about her breast cancer."
- A.
"How do you feel about your wife's diagnosis?"
- B.
"This is a difficult topic. However, let's talk about it."
- C.
"Do you think you could be as supportive as you possibly can be?"
- D.
"Men don't always understand what women are going through. Ask her how she feels."
- 12.The nurse understands that evaluation most directly relates to which aspect of the nursing process?
- A.
Goal
- B.
Problem
- C.
Etiology
- D.
Implementation
- 13.The nurse is collecting subjective data associated with a patient's anxiety. Which assessment method should be used to collect the information?
- A.
Observing
- B.
Inspecting
- C.
Auscultation
- D.
Interviewing
- 14.During which of the five steps of the nursing process does the nurse analyze data critically?
- A.
Diagnosis
- B.
Clustering
- C.
Collection
- D.
Assessment
- 15.The nurse understands that the appropriateness of a nursing diagnosis is supported by its:
- A.
Defining characteristics
- B.
Planned interventions
- C.
Diagnostic statement
- D.
Related risk factors
- 16.The nurse is planning care for a patient who has an intolerance to activity. What is the first assessment that should be made by the nurse?
- A.
Influence on other family members
- B.
Impact on functional health patterns
- C.
Pattern of vitals
- D.
Range of motion
- 17.The nurse understands that the skin protects the body from infections because the:
- A.
Cells of the skin are constantly being replaced, thereby eliminating external pathogens
- B.
Epithelial cells are loosely compacted on skin, providing a barrier against pathogens
- C.
Moisture on the skin surface prevents colonization of pathogens
- D.
Alkalinity of the skin limits the growth of pathogens
- 18.A nurse identifies that a patient has an inflammatory response. Which local adaptation supports this conclusion?
- A.
Fever
- B.
Erythema
- C.
Bradypnea
- D.
Tachycardia
- 19.The nurse understands that the secondary line of defense against infection is the:
- A.
Mucous membranes of the respiratory tract
- B.
Urinary tract environment
- C.
Integumentary system
- D.
Immune response
- 20.The nurse understands that a primary (nonspecific) defense that protects the body from infection is:
- A.
Antibiotic therapy
- B.
The high pH of the skin
- C.
Cilia in the respiratory tract
- D.
The alkaline environment of the vagina
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